Evidence map›Paper›PMID 29669753›Full record

Trial reportBlood advances2018

Pilot trial of ibrutinib in patients with relapsed or refractory T-cell lymphoma.

Anita Kumar, Santosha Vardhana, Alison J Moskowitz, Pierluigi Porcu, Ahmet Dogan, Jason A Dubovsky, Matthew J Matasar, Zhigang Zhang, Anas Younes, Steven M Horwitz

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Blood advances, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02309580 (A Multicenter Phase I Study of Ibrutinib in Relapsed and Refractory T-cell Lymphoma), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02309580 phase1completednot on this map

A Multicenter Phase I Study of Ibrutinib in Relapsed and Refractory T-cell Lymphoma

TypeinterventionalSponsorMemorial Sloan Kettering Cancer CenterRan2015 to 2023Enrolled14ConditionsT-cell Lymphoma, Relapsed and Refractory T-cell LymphomaArmsIbrutinib
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. T-Cell Prolymphocytic Leukemia: Diagnosis, Pathogenesis, and Treatment.International journal of molecular sciences · 2023
    Review
  8. Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Targeted Approaches to T-Cell Lymphoma.Journal of personalized medicine · 2021
    Review
  15. Review
  16. Review
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Anita KumarMemorial Sloan Kettering Cancer Center, New York, NY.
Santosha VardhanaMemorial Sloan Kettering Cancer Center, New York, NY.
Alison J MoskowitzMemorial Sloan Kettering Cancer Center, New York, NY.
Pierluigi PorcuThe Comprehensive Cancer Center and The James Cancer Hospital and Solove Research Institute, and.
Ahmet DoganMemorial Sloan Kettering Cancer Center, New York, NY.
Jason A DubovskyPharmacyclics LLC, an AbbVie Company, Sunnyvale, CA.
Matthew J MatasarMemorial Sloan Kettering Cancer Center, New York, NY.
Zhigang ZhangMemorial Sloan Kettering Cancer Center, New York, NY.
Anas YounesMemorial Sloan Kettering Cancer Center, New York, NY.
Steven M HorwitzMemorial Sloan Kettering Cancer Center, New York, NY.
Memorial Sloan Kettering Cancer Center · USAbbVie (United States) · USThe Ohio State University · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Ibrutinib has previously been shown to inhibit Bruton's tyrosine kinase (BTK) and interleukin-2-inducible T-cell kinase (ITK), which mediate B-cell and T-cell receptor signaling, respectively. BTK inhibition with ibrutinib has demonstrated impressive clinical responses in a variety of B-cell malignancies. Whether ibrutinib inhibition of ITK can lead to clinical response in T-cell malignancies is unknown. We hypothesized that ibrutinib-mediated ITK inhibition in T-cell lymphoma would result in decreased signaling through the T-cell receptor pathway and promote antitumor immune response by driving selective cytotoxic Th1 CD4 effector T-cell differentiation. This pilot clinical trial evaluated 2 dose levels of ibrutinib: 560 and 840 mg orally daily. Fourteen patients with relapsed, refractory peripheral T-cell lymphoma and cutaneous T-cell lymphoma were enrolled. Both dose levels were safe and well tolerated, and no dose-limiting toxicities were observed. One patient achieved a partial response (overall response rate, 8% [1/13]). ITK occupancy studies demonstrated a mean occupancy of 50% (range, 15%-80%). Higher ITK occupancy of more than 50% correlated with higher serum levels of tumor necrosis factor-α and interferon-γ and favored a Th1 phenotype. Our data suggest that ibrutinib inhibition of ITK has limited clinical activity in T-cell lymphoma. This study is registered at www.clinicaltrials.gov as #NCT02309580.

Indexed as

AdenineAdultAgedAged, 80 and overFemaleHumansLymphoma, T-CellLymphoma, T-Cell, CutaneousLymphoma, T-Cell, PeripheralMaleMiddle AgedPilot ProjectsPiperidinesProtein Kinase InhibitorsPyrazolesPyrimidinesAdenineibrutinibPiperidinesProtein Kinase InhibitorsPyrazolesPyrimidines

Identifiers

PMID29669753
PMCPMC5915998
OpenAlexW2802240211

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.